W Technique for Biliary Anastomosis in Liver Transplantation

Abstract

Biliary anastomoses in Orthotopic liver transplantation (OLT) are considered technically arduous and are accountable for the majority of OLT surgical complications. In this ‘How I do It’ article, we present a new biliary anastomosis technique. It has been performed in our service since 2011 in more than 300 liver transplants. In our series, 5.7% of the patients submitted to duct-to-duct anastomosis with a follow-up greater of 6 months developed biliary complications. Future studies should enhance this surgical technique, in order to minimize the OLT complications.